Jennifer Wallace-Johnson
Social Worker, Clinical in East Longmeadow, Massachusetts
1073221727- Practice location
- 264 N Main St, East Longmeadow, MA 01028-1815
- Phone
- 860-461-7792
- Fax
- —
- Last updated
- November 11, 2022
Jennifer Wallace-Johnson is a Social Worker, Clinical based in East Longmeadow, MA. Jennifer Wallace-Johnson practices in East Longmeadow, MA. The NPI Number for Jennifer Wallace-Johnson is 1073221727 and holds a License No. 228416 (MA). The current practice location address for Jennifer Wallace-Johnson is 264 N Main St, East Longmeadow, MA 01028-1815 and can be reached out via phone at 860-461-7792.
Provider Profile Details
- NPI Number
- 1073221727
- Provider Name
- Jennifer Wallace-Johnson
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 264 N Main St, East Longmeadow, MA 01028-1815
- Phone Number
- 860-461-7792
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- No
- Provider Enumeration Date
- November 11, 2022
- Last Update Date
- November 11, 2022
- Certification Date
- November 11, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 264 N Main St
East Longmeadow, MA 01028-1815 - City
- East Longmeadow
- State
- Massachusetts
- Zip
- 01028-1815
- Phone Number
- 860-461-7792
Provider Business Mailing Address Details
- Address
- 264 N Main St
East Longmeadow, MA 01028-1815 - City
- East Longmeadow
- State
- MA
- Zip
- 01028-1815
- Phone Number
- 860-461-7792
License Information
- License Number
- 228416
- License State
- MA
- Taxonomy
- Social Worker, Clinical · 1041C0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Jennifer Wallace-Johnson?
The NPI number of Jennifer Wallace-Johnson is 1073221727. It was assigned on November 11, 2022 and is currently active in the NPPES registry.
What is the specialty of Jennifer Wallace-Johnson?
Jennifer Wallace-Johnson is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 228416.
Where does Jennifer Wallace-Johnson practice?
The practice location is 264 N Main St, East Longmeadow, MA 01028-1815. The office can be reached at 860-461-7792 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1073221727 directly on the NPPES registry website.